Initial Quote $6,067 Per Year

Results...

Texas Has Not Decided to Expand Medicaid

States have the option to expand Medicaid coverage to everyone under 138% of the poverty level. If a state expands Medicaid, most of the costs are covered by the federal government under the health reform law. At this time, your state has not decided to expand Medicaid.

Depending on your state’s eligibility criteria, you or some members of your family may still be eligible for Medicaid. Contact your state’s Medicaid office or exchange for more information.

Because your income is equal to 37% of the poverty level, you will not be eligible for tax credits in the exchanges. Tax credits are only available to people who make between 100% and 400% of the poverty level. Keep in mind that these results are estimates and you can still apply for exchange coverage if you are interested in receiving a tax credit. The information below is about unsubsidized exchange coverage:

Household income in 2014:
37% of poverty level

Maximum % of income you have to pay for the premium, if eligible for a subsidy:
None

Health Insurance premium in 2014 (for a silver plan, before tax credit):
$6,067 per year

You could receive a government tax credit subsidy of up to:
$0 per year
(which covers 0% of the overall premium)

Amount you pay for the premium:
$6,067 per year
(which equals 144.46% of your household income and covers 100% of the overall premium)


The premium amounts above are based on a Silver plan. You could purchase other levels of coverage, such as a Gold plan (which would be more comprehensive) or a Levels of coverage, such as a Gold plan (which would be more comprehensive) or a Bronze plan (wich would be less comprehensive).

For example, you could enroll in a Bronze plan for about $4,674 per year (which is 111.29% of your household income). For most people, the Bronze plan represents the minimum level of coverage required under health reform. Although you would pay less in premiums by enrolling in a Bronze plan, you will face higher out-of-pocket costs than if you enrolled in a Silver plan.

OUT OF POCKET COSTS
Your out-of-pocket maximum for a Silver plan (not including the premium) can be no more than $6,350. Whether you reach this maximum level will depend on the amount of health care services you use. Currently, about one in four people use no health care services in any given year.

A Silver plan has an actuarial value of 70%. This means that for all enrollees in a typical population, the plan will pay for 70% of expenses in total for covered benefits, with enrollees responsible for the rest. If you choose to enroll in a Bronze plan, the actuarial value will be 60%, meaning your out-of-pocket costs when you use services will likely be higher. Regardless of which level of coverage you choose, deductibles and copayments will vary from plan to plan, and out-of-pocket costs will depend on your health care expenses. Preventive services will be covered with no cost sharing required.

OTHER COVERAGE OPTIONS

Because Bronze level coverage would cost more than 8% of your household income, you may instead opt to purchase catastrophic coverage. With a catastrophic plan, you would pay out-of-pocket for most health services until you reach the annual limit on cost sharing ($6,350 in 2014). However, preventive services are covered with no cost sharing required.